タイトル無し
スポンサーリンク
概要
- 論文の詳細を見る
To re-evaluate the work of P.D. Gard et al., we analyzed the smear patterns of squamous carcinoma in situ of the uterine cervix in 10 aged women.<BR>All the materials had been histologically diagnosed as carcinoma in situ of the uterine cervix after hysterectomy and we reviewed the preoperative smears of the same materials.<BR>The age of the older group was over 60 years (the average 67.2 years) and the age of the younger group was under 59 years (the average 42.7 years).<BR>Besides aforementioned study, we searched for the relationship between the smear pattern and the histological findings such as the histological type and the mode of extension of the lesion in each case.<BR>The cell type of carcinoma in situ of the cervix was classified as parabasal cancer cell, clustered cancer cell, keratinizing cancer cell, fiber cell, large cell (nonkeratinizing), small cancer cell, tadpole cell and undifferentiated cancer cell according to the modified Gard's classification.<BR>The results are as follows;<BR>1) The average percentage distribution of malignant cells for both groups is shown below.<BR>in older groupg in younger group<BR>parabasal cancer cell 49.7% 75.0%<BR>clustered cancer cell 8.4 2.0<BR>keratinizing cancer cell 10.4 6.9<BR>fiber cell 2.7 0.6<BR>large cell nonkeratinizing 2.8 2.7<BR>small cancer cell 25.7 12.3<BR>tadpole cell 0.3 0.3<BR>undifferentiated cancer cell 0.1 0.2<BR>2) The background of smears from the aged was a dirty one stained with erythrocytes, necrotic cell debris, naked nuclei and ghost cells.<BR>3) 6 out of 10 older patients had been preoperatively diagnosed as "invasive" instead of in situ carcinoma of the uterine cervix on cytology but none out of 10 younger patients.<BR>4) In the aged group, histological characteristics of carcinoma in situ of the cervix was mostly keratinizing cell type.<BR>5) The circular extension of the lesion reached threefourths of the circumference of the cervix in 5 out of 10 older women and in only one out of 10 younger women.<BR>6) The moderate and severe glandular involvement of the lesion was seen in 6 out of 10 older women and in 2 out of 10 younger women.<BR>7) In the aged group, the wider the lesion, the more pleomorphic the cytologic pattern.
- 特定非営利活動法人 日本臨床細胞学会の論文
特定非営利活動法人 日本臨床細胞学会 | 論文
- Cytology of Carcinoid of Digestive Organs
- T-cell rich B-cell large cell lymphoma.
- Symposium on borderline lesions. 1. Aspiration cytology of lymph nodes with special reference to malignant lymphoma.
- A case of endometrioid adenocarcinoma, so-called secretory variant.
- Significant factors influencing the accuracy of PTCD bile cytology for bile duct lesions.